49D2197849 CLIA NUMBER - ATLANTIC INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 49D2197849
  • Facility Name: ATLANTIC INTERNAL MEDICINE
  • Facility Address: 1232 PERIMETER PARKWAY SUITE 205
    VIRGINIA BEACH, VA
    ZIP 23454
  • Facility Phone: 757 975-4695
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAMON D. MATAWARAN
  • NPI Number: 1427657667
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2197849
LAB Type Physician Office
Facility Name ATLANTIC INTERNAL MEDICINE
Street 1232 PERIMETER PARKWAY SUITE 205
City VIRGINIA BEACH
State VA
ZIP 23454
Phone 757 975-4695
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2024
Certificate Expiration Date 10/27/2026
Facility Type Physician Office
Lab Director RAMON D. MATAWARAN

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This page was last updated on: 9/29/2025